Transcript presentation slides - Community Action Southwark

All-Age Integrated Commissioning Strategy
(Health and Wellbeing)
2014 - 2020
CAS Voluntary Sector Forum workshop
17 July 2014
www.southwark.gov.uk
Vision
The Southwark Health and Wellbeing Board have set three main broad priorities in
order to deliver better health and care outcomes for Southwark residents. Those
priorities are:
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Giving every child and young person the best start in life
Building healthier and more resilient communities and tackling the root
causes of ill health
Improving the experience and outcomes for our most vulnerable residents
and enabling them to live more independent lives
The council therefore wants to ensure that all Southwark residents, irrespective of
their age or any other defining characteristic, has the opportunity to:
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Live as independently as possible
Living in a in a good state of emotional and economic well being.
Have access to the full economic, cultural and social life that Southwark has
to offer
Actively contribute, where they can, to the wider community
www.southwark.gov.uk
National and
Local Context
• The Care Act
• The Children and Families Act
• Local Direction on Integration
• Financial Implications
www.southwark.gov.uk
Strategic Commissioning
Intentions
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Personalised health and social care services that are able to follow a resident through
their lifetime
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Improve resilience of communities, families and individuals to support residents to
maintain / regain their independence and be able to live in their home
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Identify and commission effective preventative / early action services that reduce the
need for specialist services
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Quality specialist services for those that require support when no longer able to live in
their own home
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Commission for quality and improved outcomes for our residents, utilising views
expressed from residents on the services they receive to develop and inform future
approaches
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Develop a diverse, innovative and adaptable health and social care market
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Develop a single integrated approach to commissioning services wherever possible
www.southwark.gov.uk
Co-production
Co-production is a meeting of minds coming
together to find a shared solution.
In practice, it involves residents and their family /
carers, who use services being consulted, included,
working together and influencing from the start to
the end of any project that affects them.
www.southwark.gov.uk
All Age Disabilities
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Target more support to younger children with disabilities and their families. Providing
information, advice, support and signposting at the point of diagnosis.
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Commission support to enable more young people to succeed into adulthood and
education or employment, including creating real opportunities for employment for
disabled young people and adults
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Still maintaining a focus on increasing independent living opportunities including
returning people to the borough (Winterbourne View response)
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Developing a range of supported living opportunities that can respond to the
individual needs of people whose needs challenge services who are returning to the
borough
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Improve the market for “day opportunities” offering wider range of support in the key
areas of employment; education; community engagement; and sport and leisure
www.southwark.gov.uk
All Age Long Term Conditions
Supporting the shift in the balance of care away from a current over reliance on
institutional care, through:
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24 hour integrated community support which is increasingly locality based
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Ongoing emphasis upon reablement and promoting resilience and self care
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Improving person centred care, through a well trained, motivated provider sector
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Where applicable modernising and/or developing specialist buildings
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Meaningful and therapeutic day opportunities
www.southwark.gov.uk
All Age Prevention
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An all-age accommodation approach to reduce the reliance on institutional forms of care
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Assistive technology and an Integrated community equipment service that supports
individuals to maintain their independence
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Implementation of the joint carers strategy alongside the CCG
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Commissioning of a comprehensive and effective information, advice and advocacy offer
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Universal Preventative interventions that improve access to support, health and
wellbeing and social interaction, promote healthy lifestyles and positive health benefits
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Enabling residents to manage their own health and social care needs
www.southwark.gov.uk
Developing Southwark’s Market
Position Statement
Jane Senior – Market Development
Manager
www.southwark.gov.uk
What is a Market Position Statement
(MPS)?
An MPS sets out the Council’s
approach towards shaping and
developing the local care and support
market in order to ensure sufficient
supply, to meet the requirements of
individual choice and population
demand.
www.southwark.gov.uk
What does it look like?
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Concise market facing document
Evidence based
Market Development Plan
Supports providers to make informed
decisions about developing their businesses
in Southwark.
• Complements Southwark’s All Age
Commissioning Strategy
www.southwark.gov.uk
How are we developing the MPS in
Southwark?
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Supply Mapping and Analysis
Demand Analysis
Profile of Spend
Service User and Provider Engagement
Market Analysis
Strategic Drivers – Local and National
Supplier Relationship Management
www.southwark.gov.uk
Group Exercise
• What information would you most like
to see in the MPS?
• What are the key challenges faced by
the VCS?
• How would you like the Council to
respond to these challenges?
www.southwark.gov.uk
Focussing on Personal Budgets
Peta Smith – Commissioning Manager
Children’s and Adult’s Services
www.southwark.gov.uk
What’s new
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Children and Families Act
Care Act
Personal Health Budgets
Integrated Personal Commissioning
Increased take up of Direct Payments
www.southwark.gov.uk
Children and Families Bill - SEND
• Integrated assessments (education, health
and social care – EHC) and integrated
commissioning (health and local authority)
• Duty to publish a Local Offer
• Right to request a Personal Budget
www.southwark.gov.uk
Local Offer – what is it
• Purpose of the local offer is to enable
parents and young people to see more
clearly what services are available in their
area and how to access them.
• Covers provision for 0-25 years, across
education, health and social care
• Being developed in partnership with parents
and young people in the borough
www.southwark.gov.uk
Local Offer - Impact
• Opportunity to promote your service (0-25 &
parents?)
• Opportunity to understand what other organisations
there are and where there are gaps in service
provision
• Will be promoted by the council and partners as the
“go to place” for information so very important you
are on there
• Opportunity to reach more people
We will be circulating information on how to get your
organisation on the Southwark offer via CAS later this
month.
www.southwark.gov.uk
Care Act
• Continued focus and momentum for PBs
• We will have more contact with self
funders
• Big focus on information and advice
www.southwark.gov.uk
Personal Health Budgets
• Currently – have a right to request if you have a
continuing healthcare need
• From April 2015 – if you have a long term
condition
• Small changes nationally to date
www.southwark.gov.uk
Integrated Personal Commissioning
• New announcement
• Bringing Health and Social Care PB into an
integrated budget and spending to meet shared
outcomes
• Blurs the lines
• Pilots April 2015
www.southwark.gov.uk
More people on Direct Payments
• Increasing month by month
• 377 and counting!
www.southwark.gov.uk
Personal Budgets – Possible Impacts 1
• Opportunity to increase business
– Good service, but limited to volume of work commissioned
– Not commissioned by the council, so don’t get referrals
• Opportunity to provide support in new and
different ways
– Respond to requests from people who use your service
– Not defined by the Council – by the personal budget holder
• Opportunity to focus on individual outcomes
• Increased focus on quality and customer
satisfaction
www.southwark.gov.uk
Personal Budgets – Possible Impacts 2
• Changes to core funding
• Develop new costing models – cost per
person; per session; per week etc
• New income streams – how to manage
• More diverse market – more individual
focussed; micro-providers?
www.southwark.gov.uk
Personal Budgets – Planning
• What do your service users want?
• What parts of your services can you make more
individualised (and what can’t you)?
• Who are your competitors? And who are your
collaborators?
• The market of organisations offering services is
increasing
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Think about what makes you unique
Promote your services
Respond to what people say they want/ need
Understand the costs of your service and how you can be competitive
Make sure you are utilising the Local Offer and other information directories
www.southwark.gov.uk